Active NPI 1205830643 Individual Practitioner Male Practitioner

Dr. Mark Lee Ginnings , MD

Internal Medicine • Denton, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Ginnings, MD is a certified Internal Medicine practicing in Denton, TX. With approximately 40 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 1986, Dr. Ginnings delivers high-quality medical care to the local community at 2501 SCRIPTURE ST STE 101.

Dr. Ginnings is affiliated with Texas Health Physicians Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2501 Scripture St Ste 101

Denton, TX 762012314

Telephone 9403877441

Associated Practice Facility / Clinic

🏢 Health For Kids Pediatrics Pllc Facility NPI 1407323751

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Denton, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +16.9 yrs vs City Avg

City Avg: 23.1 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

50 Specialists

Practicing in Denton, TX (9538 Statewide)

Telehealth Adoption Rate

18.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ginnings (40 Years) 40 Yrs

Denton Specialty Average (23.1 Years) 23.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	732	338	$18.00	$15.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	715	345	$323.00	$121.22
99213 Established patient office or other outpatient visit, typically 15 minutes	304	186	$218.00	$86.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	271	271	$339.00	$123.33
36415 Insertion of needle into vein for collection of blood sample	181	169	$9.00	$8.55
83036 Hemoglobin A1C level	158	87	$43.00	$9.22
90662 Influenza vaccine split virus, preservative free	128	128	$93.78	$80.64
G0008 Administration of influenza virus vaccine	126	126	$60.00	$31.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	44	$131.00	$52.86
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	25	11	$128.00	$39.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$500.00	$160.31
81003 Automated urinalysis test	23	22	$10.00	$2.20
93000 Routine ekg using at least 12 leads including interpretation and report	21	20	$65.00	$12.94
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	17	$167.00	$51.02
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	18	18	$53.00	$16.20
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	18	18	$397.00	$273.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$435.00	$164.00
G0009 Administration of pneumococcal vaccine	17	17	$60.00	$31.03
80305 Testing for presence of drug, read by direct observation	14	14	$38.00	$12.35
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	12	12	$133.62	$68.88
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$509.00	$157.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	742	353	$323.00	$121.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	250	250	$339.00	$123.58
99213 Established patient office or other outpatient visit, typically 15 minutes	214	146	$218.00	$85.68
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	160	160	$397.00	$278.13
G0009 Administration of pneumococcal vaccine	159	159	$60.00	$29.33
83036 Hemoglobin A1C level	150	78	$43.00	$9.27
G0008 Administration of influenza virus vaccine	97	97	$60.00	$29.52
90662 Influenza vaccine split virus, preservative free	95	95	$90.00	$71.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	41	$131.00	$53.48
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	24	$167.00	$49.97
81003 Automated urinalysis test	22	19	$10.00	$2.20
80305 Testing for presence of drug, read by direct observation	17	17	$38.00	$12.35
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	16	16	$53.00	$16.20
93000 Routine ekg using at least 12 leads including interpretation and report	12	11	$65.00	$13.84
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$467.00	$158.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	807	359	$323.00	$123.24
99213 Established patient office or other outpatient visit, typically 15 minutes	267	175	$218.00	$87.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	206	206	$339.00	$125.80
G0008 Administration of influenza virus vaccine	164	162	$60.00	$28.25
90662 Influenza vaccine split virus, preservative free	159	157	$90.00	$67.49
G0009 Administration of pneumococcal vaccine	155	154	$60.00	$28.28
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	148	148	$397.00	$274.45
83036 Hemoglobin A1C level	125	63	$43.00	$9.27
87804 Detection test by immunoassay with direct visual observation for influenza virus	84	41	$53.00	$16.41
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	47	43	$84.24	$43.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$500.00	$161.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	30	$131.00	$53.31
93000 Routine ekg using at least 12 leads including interpretation and report	29	25	$65.00	$13.10
81003 Automated urinalysis test	26	24	$10.00	$2.22
90471 Administration of 1 vaccine	24	23	$69.00	$14.15
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$204.00	$132.56
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	17	$167.00	$51.00
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	15	$53.00	$16.34
80305 Testing for presence of drug, read by direct observation	12	12	$38.00	$11.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	516	296	$323.00	$125.45
99213 Established patient office or other outpatient visit, typically 15 minutes	309	193	$218.00	$88.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	180	132	$131.00	$54.44
G0008 Administration of influenza virus vaccine	154	154	$60.00	$16.37
90662 Influenza vaccine split virus, preservative free	150	150	$90.00	$64.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	116	116	$339.00	$128.96
83036 Hemoglobin A1C level	114	63	$43.00	$9.71
G0009 Administration of pneumococcal vaccine	62	59	$60.00	$15.91
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	39	39	$204.00	$122.23
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	33	29	$167.00	$51.39
81003 Automated urinalysis test	28	25	$10.00	$2.17
87804 Detection test by immunoassay with direct visual observation for influenza virus	26	13	$53.00	$16.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$500.00	$163.39
90670 Pneumococcal vaccine for injection into muscle	23	23	$429.00	$229.42
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	22	21	$84.24	$45.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$435.00	$176.62
93000 Routine ekg using at least 12 leads including interpretation and report	17	16	$65.00	$14.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	472	246	$129.78	$70.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	202	144	$172.26	$101.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	202	202	$130.30	$106.96
G0444 Annual depression screening, 5 to 15 minutes	194	194	$25.00	$16.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	158	104	$85.38	$41.84
90662 Influenza vaccine split virus, preservative free	98	97	$73.32	$59.50
G0008 Administration of influenza virus vaccine	96	95	$40.21	$16.19
G0009 Administration of pneumococcal vaccine	27	26	$40.56	$16.16
81003 Automated urinalysis test	23	19	$16.96	$2.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$244.05	$102.57
93000 Routine ekg using at least 12 leads including interpretation and report	21	19	$80.43	$16.02
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	20	11	$72.00	$38.18
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	18	$95.95	$49.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	12	$104.00	$66.87
90670 Pneumococcal vaccine for injection into muscle	17	17	$232.82	$208.76
83036 Hemoglobin A1C level	17	17	$43.00	$9.71
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	17	14	$40.00	$12.16
99238 Hospital discharge day management, 30 minutes or less	16	16	$102.00	$67.38
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$190.00	$153.66
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$153.73	$118.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	631	294	$98.00	$67.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	307	307	$125.00	$106.32
G0444 Annual depression screening, 5 to 15 minutes	303	303	$25.00	$16.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	236	156	$78.00	$41.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	229	167	$148.00	$98.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	143	40	$104.00	$67.43
90662 Influenza vaccine split virus, preservative free	137	136	$59.78	$53.98
G0008 Administration of influenza virus vaccine	136	135	$35.00	$15.90
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	59	16	$22.00	$1.52
99238 Hospital discharge day management, 30 minutes or less	52	39	$102.00	$67.58
G0009 Administration of pneumococcal vaccine	39	39	$35.00	$15.90
93000 Routine ekg using at least 12 leads including interpretation and report	29	26	$92.00	$15.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	23	$196.00	$126.91
81003 Automated urinalysis test	23	21	$18.00	$2.44
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$104.00	$98.75
90670 Pneumococcal vaccine for injection into muscle	20	20	$190.00	$186.20
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$185.00	$157.30
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	16	$77.00	$48.75
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$190.00	$151.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	510	265	$98.00	$66.76
G0444 Annual depression screening, 5 to 15 minutes	304	304	$25.00	$16.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	303	303	$125.41	$106.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	291	180	$78.00	$40.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	257	184	$148.00	$98.10
G0008 Administration of influenza virus vaccine	190	189	$34.61	$19.51
90662 Influenza vaccine split virus, preservative free	187	186	$53.88	$51.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	114	57	$316.37	$70.25
99238 Hospital discharge day management, 30 minutes or less	45	43	$333.00	$70.19
G0009 Administration of pneumococcal vaccine	44	44	$34.73	$19.51
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	38	18	$58.00	$38.14
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	37	25	$536.00	$101.71
81003 Automated urinalysis test	27	24	$18.00	$2.71
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	26	$77.00	$49.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$544.16	$131.13
93000 Routine ekg using at least 12 leads including interpretation and report	25	25	$92.00	$15.48
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	23	23	$95.00	$89.05
90670 Pneumococcal vaccine for injection into muscle	21	21	$190.00	$186.20
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$190.00	$151.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$1042.00	$197.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	579	291	$98.00	$66.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	404	219	$78.00	$39.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	307	307	$125.81	$104.76
G0444 Annual depression screening, 5 to 15 minutes	304	304	$25.00	$16.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	183	$148.00	$97.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	238	57	$131.13	$66.67
G0008 Administration of influenza virus vaccine	223	223	$35.00	$23.91
90662 Influenza vaccine split virus, preservative free	209	209	$50.00	$47.82
G0009 Administration of pneumococcal vaccine	72	70	$35.00	$23.63
99238 Hospital discharge day management, 30 minutes or less	58	48	$118.29	$66.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	42	$231.93	$126.35
90670 Pneumococcal vaccine for injection into muscle	56	56	$190.00	$184.01
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	43	12	$22.00	$1.77
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	36	18	$58.00	$37.45
93000 Routine ekg using at least 12 leads including interpretation and report	35	35	$92.00	$15.34
81003 Automated urinalysis test	30	27	$18.00	$3.02
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	28	28	$77.00	$48.83
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	23	23	$190.00	$147.53
99234 Hospital observation or inpatient care low severity, 40 minutes per day	23	15	$170.00	$122.82
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	19	$95.00	$91.12
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	16	16	$35.00	$17.34
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$119.00	$68.02
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$185.00	$155.39

Medical Specialties & State Licenses

CMS Verified: 2020-12-08

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX H2403

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1222457-02 (TX)

Commercial Insurance / Payer ID Railroad Medicare

CB2551 (TX)

Hospital & Practice Group Affiliations

Texas Health Physicians Group

2501 Scripture St, Denton, TX 762012314

Phone: 9403877441

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Judy Yates , MD

Internal Medicine

NPI 1316970270

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location December 08, 2020

Registered at 2501 SCRIPTURE ST STE 101, DENTON, TX 762012314 (Tel: 9403877441)

📍

Updated Business Mailing Address December 08, 2020

Registered at 2501 SCRIPTURE ST STE 101, DENTON, TX 762012314 (Tel: 9403877441)

✅

NPI Profile Active November 23, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location November 23, 2010

Registered at 3537 S I-35 E, STE 315, DENTON, TX 762106870 (Tel: 9403877441)

📍

Updated Business Mailing Address November 23, 2010

Registered at 3537 S I-35 E STE 315, DENTON, TX 762106870 (Tel: 9403877441)

👤

Provider Name / Credentials Updated November 23, 2010

Recorded as MARK GINNINGS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2010

Internal Medicine (License #H2403 in TX)

🟢

Initial NPI Registration & Enumeration June 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1205830643

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 13, 2005

Last Update: December 08, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2501 Scripture St Ste 101

Denton, TX 762012314

Phone: 9403877441

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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